Individual
JAY MATTHEW NIEUWENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12 COOGAN BLVD STE 202, MYSTIC, CT 06355-1938
(860) 245-4620
Mailing address
12 COOGAN BLVD STE 202, MYSTIC, CT 06355-1938
(860) 245-4620
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
002304
CT
111N00000X
Chiropractor
Primary
2304
CT
Other
Enumeration date
12/07/2023
Last updated
10/15/2024
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